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THOMAS WILKS ELLIS III P.A. C
NPI 1881632891
Physician Assistant in Maple Grove, MN

Active since June 02, 2006PECOS Enrolled
12000 ELM CREEK BLVD N, SUITE 360, MAPLE GROVE, MN 55369(763) 315-4300(763) 315-4360 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Wilks Ellis Iii P.a. C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS WILKS ELLIS III P.A. C (NPI 1881632891) is an individual physician assistant in Maple Grove, Minnesota, licensed in Minnesota (9063) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881632891
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS WILKS ELLIS IIICredential: P.A. C
Location Address12000 ELM CREEK BLVD N, SUITE 360Maple Grove, MN 55369-7073
Mailing Address2873 233rd Ln NwSt Francis, MN 55070-8630 · (763) 753-3306
Phone(763) 315-4300
Fax(763) 315-4360
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 24, 2012
✔ NPI 1881632891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 9063
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12000 ELM CREEK BLVD N, Maple Grove, MN 55369
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Other Identifiers 1

Medicare UPINR97982MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Wilks Ellis Iii P.a. C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE LAWLESS CMT
Contractor
12000 ELM CREEK BLVD N, SUITE L70
MAPLE GROVE, MN 55369
Hennepin County (763) 463-9444
SHANE A. BORODITSKY, P.A.
Chiropractor
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Hennepin County (612) 281-3575
MIRTHA NESHEIM M.D.
Family Medicine
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Hennepin County (763) 420-5822
MS. GAY WYNNE LENTFER PA
Physician Assistant
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Hennepin County (763) 420-5822
MICHAEL A GALLAGHER FNP
Nurse Practitioner (Occupational Health)
12000 ELM CREEK BLVD N, #140
MAPLE GROVE, MN 55369
Hennepin County (763) 420-7048
JAMIE L SLEDD
Clinic/Center (Dental)
12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369
Hennepin County (763) 494-4443
DR. JAMIE LIN SLEDD DDS
Dentist (General Practice)
12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369
Hennepin County (763) 494-4443
KAREN LYNN SCULLY ATC
Specialist/Technologist (Athletic Trainer)
12000 ELM CREEK BLVD N, #120
MAPLE GROVE, MN 55369
Hennepin County (763) 420-9960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Ellis's NPI number?

The NPI number for Thomas Ellis is 1881632891. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Thomas Ellis located?

Thomas Ellis practices at 12000 Elm Creek Blvd N Suite 360, Maple Grove, MN 55369. The listed phone number is (763) 315-4300.

What is Thomas Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Ellis enrolled in Medicare?

Yes. Thomas Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Ellis was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.